For profit - Corporation ·
90 certified beds ·
Medicare and Medicaid
· Part of Cantex Continuing Care (38 facilities)
4
Overall CMS Rating
★★★★☆
Palma Real is a Medicare-certified nursing home in Mathis, Texas. CMS rates it 4 out of 5 stars overall (1/5 for staffing, 4/5 for health inspections). Nurse staffing is 2.95 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Apr 17, 2025 cited 8 deficiencies.
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CMS Quality Ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars = highest quality.
Overall Rating
★★★★☆ 4/5
Health Inspections
★★★★☆ 4/5
Staffing
★☆☆☆☆ 1/5
Quality Measures
★★★★★ 5/5
Long-Stay QM
★★★★★ 5/5
Short-Stay QM
★★★★★ 5/5
How Palma Real compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
Metric
This facility
Texas avg
National avg
Total nurse staffing (hrs/resident/day)
2.95
3.40
3.89
below avg
RN staffing (hrs/resident/day)
0.27
0.44
0.68
below avg
Aide staffing (hrs/resident/day)
1.53
2.01
2.34
below avg
Nursing staff turnover
34.0%
51.5%
46.4%
below avg
Deficiencies cited, last inspection
8.0
9.1
9.5
below avg
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
2.95
Total Nurse Hrs/Resident/Day
0.27
RN Hrs/Resident/Day
1.15
LPN Hrs/Resident/Day
1.53
Aide Hrs/Resident/Day
2.54
Weekend Nurse Hrs/Resident/Day
Staff Turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is ~60%.
Total Nursing Staff
34.0%
Registered Nurses
40.0%
Administrator Changes1 in last year
Recent Health Inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Apr 17, 2025
Most Recent Inspection Date
8
Total Deficiencies Found
36
Health Inspection Score
0
Number of Fines
What inspectors found at Palma Real
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
Potential for harm
Provide and implement an infection prevention and control program.Infection Control Deficiencies · Nov 21, 2025
Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies · Aug 20, 2025
Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Aug 20, 2025
Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies · Apr 17, 2025
Potential for harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Resident Rights Deficiencies · Apr 17, 2025
Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning Deficiencies · Apr 17, 2025
Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and Care Deficiencies · Apr 17, 2025
Potential for harm
PASARR screening for Mental disorders or Intellectual DisabilitiesResident Assessment and Care Planning Deficiencies · Apr 17, 2025
Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies · Feb 23, 2024
Potential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.Environmental Deficiencies · Feb 23, 2024
Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies · Feb 23, 2024
Minimal
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Environmental Deficiencies · Feb 23, 2024
About This Facility
Address
1220 Loop 459 Mathis, TX 78368
CMS Certification #
675312
Ownership
For profit - Corporation
Certified Beds
90
Avg Residents/Day
60.9
Provider Type
Medicare and Medicaid
First Certified
1994-05-11
Chain
Cantex Continuing Care (38 facilities)
Setting
Urban
Part of Cantex Continuing Care
38
Facilities Nationwide
Cantex Continuing Care operates 38 nursing facilities across the United States.
CMS gives Palma Real an overall rating of 4 out of 5 stars, including 1/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
Palma Real reports 2.95 total nurse hours per resident per day, compared with the Texas average of 3.40.
Its most recent CMS inspection cited 8 deficiencies.
Palma Real is certified for 90 beds.
Admissions at Palma Real
For admissions, availability and rehab questions, call (361) 547-3318. If a parent is leaving the hospital, the hospital discharge planner can also check which nursing homes have a bed.
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